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Hesperidin Interaction with HMG-CoA-Reductase Enzyme in Hypercholesterolemia: A Study in Silico 高胆固醇血症患者橙皮苷与HMG-CoA还原酶的相互作用研究
Pub Date : 2021-09-29 DOI: 10.20527/jbk.v17i2.11692
Annisa Oktaviani, Veronica Shania Aprillia, E. Suhartono, N. Komari
Abstract: Dyslipidemia is a degenerative disease occurred with increased levels of fat and cholesterol levels in blood. One of the proteins used as anti-cholesterol is an HMG-CoA-Reductase. Hesperidin in orange peel can reduce cholesterol levels by interacting with HMG-CoA-Reductase. To prove this, an in silico method was used by using swissdock.ch (http://swissdock.ch/docking#). The receptor protein in dyslipidemia was obtained from the RCSB Protein Data Bank (https://www.rcsb.org) namely HMG-CoA-reductase receptor with code PDB: 1HW9. The natural ligand, hesperidin, was obtained from PubChem with code: 10621 (https://pubchem.ncbi.nlm.nih.gov/). Protein was prepared by omitting the natural ligand residues present in the protein. Ligand and protein preparations were used by the chimera 1.15. The result of this study indicated that the interaction of hesperidin with several amino acid recidues was predicted to provide inhibitory activity on HMG-CoA reductase as the protein target. Inhibition of HMG-CoA reductase will reduce mevalonate synthesis so that cholesterol levels will decrease.  Keywords: hesperidin, HMG-CoA-Reductase, cholesterol, dyslhahipidemia
摘要:血脂异常是一种随着血液中脂肪和胆固醇水平升高而发生的退行性疾病。其中一种用作抗胆固醇的蛋白质是hmg - coa -还原酶。橙皮中的橙皮苷可以通过与hmg - coa -还原酶相互作用降低胆固醇水平。为了证明这一点,使用了一种硅片方法。ch (http://swissdock.ch/docking)。血脂异常受体蛋白来源于RCSB蛋白数据库(https://www.rcsb.org),即hmg -辅酶a还原酶受体,编码PDB: 1HW9。天然配体橙皮苷从PubChem获得,代码:10621 (https://pubchem.ncbi.nlm.nih.gov/)。通过省略蛋白质中存在的天然配体残基来制备蛋白质。嵌合体1.15采用配体和蛋白制备。本研究结果表明,橙皮苷与几种氨基酸残基的相互作用可作为抑制HMG-CoA还原酶的蛋白靶点。抑制HMG-CoA还原酶会减少甲羟戊酸的合成,从而降低胆固醇水平。关键词:橙皮苷,hmg -辅酶a -还原酶,胆固醇,血脂异常
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引用次数: 1
Play Therapy as a Method of Trauma Healing in PTSD Children Victims of Flood Disaster in West Martapura, South Kalimantan 游戏疗法在南加里曼丹西马塔普拉洪水灾害中创伤后应激障碍儿童创伤愈合中的应用
Pub Date : 2021-09-29 DOI: 10.20527/jbk.v17i2.11673
Endang Pertiwiwati, I. Maulana, Fitriani Az Zahra, Ida Yuliana
Abstrat: Banjar Regency was recorded as the area most affected by flooding and the West Martapura District was the sub-district area that suffered the most damage. Children as disaster victims who are prone to PTSD, they need to get serious treatment so that the consequences are not prolonged and hamper their development. One form of intervention that can be applied to restore the psychological condition of children affected by disasters is counseling through play therapy. This study aims to analyze the effectiveness of Play Therapy as a Trauma Healing Method in Children With PTSD Flood Disaster Victims. The research design used a quasi-experimental one pre-post test group research design. The research subjects were 35 children with mild to moderate PTSD based on the PLC C version of the PTSD questionnaire, aged 4-6 years. The study was conducted for 5 weeks with various play therapy media and the intervention was carried out for 3 weeks. The results showed that there was a significant difference between the scores of the pretest and posttest scores on the PTSD questionnaire (p = 0.000) with the Wilcoxon test after trauma healing with the play method was performed. The conclusion of the study was  trauma healing with the play therapy method is effectived for treating pediatric patients with PTSD victims of the post-flood South Kalimantan. Keywords: Trauma Healing, Play Therapy, PTSD, Flood, Children, PTSD Questionnaire
文章摘要:Banjar Regency被记录为受洪水影响最严重的地区,West Martapura区是受灾最严重的分区。儿童作为容易患创伤后应激障碍的灾难受害者,他们需要得到认真的治疗,以免后果延长并阻碍他们的发展。一种可用于恢复受灾害影响儿童心理状况的干预形式是通过游戏治疗进行咨询。本研究旨在分析游戏治疗作为创伤治疗方法对PTSD洪水灾害受害者儿童的有效性。研究设计采用了准实验性的一组前后测试的研究设计。研究对象为35名患有轻度至中度创伤后应激障碍的儿童,年龄为4-6岁。该研究使用各种游戏治疗介质进行了5周,并进行了3周的干预。结果显示,采用游戏法进行创伤愈合后,创伤后应激障碍问卷的Wilcoxon测试的前测和后测得分之间存在显著差异(p=0.000)。本研究的结论是,游戏治疗方法对治疗洪水后南加里曼丹地区儿童创伤后应激障碍患者是有效的。关键词:创伤治疗,游戏治疗,创伤后应激障碍,洪水,儿童,创伤后抑郁障碍问卷
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引用次数: 2
Ethanol Extract of Areca Nuts was Able to Improve the Histopathological Features of P. Berghei-Induced Liver Damage in Mice 槟榔醇提物能改善柏氏肝损伤小鼠的组织病理学特征
Pub Date : 2021-09-29 DOI: 10.20527/jbk.v17i2.11664
Alissa Anna Safira, Ika Fidianingsih, Dwi Nur Ahsani
Abstract: Adequate therapy is necessary to prevent further damage to the liver infected with Plasmodium sp. Areca catechu and curcumin have the potential for malaria therapy, and scientific evidence is required to examine such potential either alone or in combination. This experimental study used a posttest-only group design involving 24 male Swiss mice (Mus musculus) as the subjects divided into 6 groups (@4 mice). P. berghei was injected intraperitoneally in 5 groups, and different types of treatment (4 days, feeding tube) were administered to 4 groups (K1 = chloroquine, K3 = ethanol extract of Areca nuts + curcumin, K4 = ethanol extract of Areca nuts, K5 = curcumin). The doses were 0.012mg/kgBW of chloroquine, 150mg/kgBW of Areca nut ethanol extract, and 30mg/kgBW of curcumin. K2 was the unhealthy group (infected with P. berghei without therapy), while K6 was the normal/healthy group. Parasitemia was examined in 3 days after induction by P. berghei (inclusion criterion: parasitemia >5%, exclusion criterion: parasitemia >15%). The liver was embedded in paraffin blocks and stained with HE. Observations were made to identify the presence of necrosis, portal inflammation, and hemosiderin. The data of histopathological changes in the liver was expressed in percentages. The administration of Areca nut ethanol extract was able to provide better histopathological features than curcumin therapy alone, in combination, or chloroquine therapy (K4, no necrosis; mild portal inflammation = 50%, moderate = 25%; hemosiderin = 25%). Areca nut ethanol extract had yet to show histopathological features that resembled a healthy condition (K6 = normal inflammation, mild, moderate = 50%, 50%, 0%, respectively; hemosiderin = 0%). The ethanol extract of Areca nuts alone was shortly able to improve the histopathological features of P. berghei-induced liver damage in mice. Keywords: Areca nuts, Plasmodium berghei, histopathology of liver
摘要:为了防止疟原虫感染对肝脏的进一步损害,有必要进行充分的治疗。槟榔和姜黄素具有治疗疟疾的潜力,需要科学证据来单独或联合检测这种潜力。这项实验研究使用了一种仅测试后的组设计,涉及24只雄性瑞士小鼠(Mus musculus)作为受试者,分为6组(@4只小鼠)。伯氏疟原虫分5组腹膜内注射,4组给予不同类型的治疗(4天,饲管)(K1=氯喹,K3=槟榔乙醇提取物+姜黄素,K4=槟榔乙醇提取液,K5=姜黄素)。剂量分别为0.012mg/kg体重的氯喹、150mg/kg体重的槟榔乙醇提取物和30mg/kg体重的姜黄素。K2为不健康组(未经治疗感染伯氏疟原虫),K6为正常/健康组。在P.berghei诱导后3天检查寄生虫血症(纳入标准:寄生虫血症>5%,排除标准:寄生虫病>15%)。将肝脏包埋在石蜡块中并用HE染色。观察是否存在坏死、门静脉炎症和含铁血黄素。肝脏组织病理学变化的数据以百分比表示。与姜黄素单独治疗、联合治疗或氯喹治疗相比,槟榔乙醇提取物的给药能够提供更好的组织病理学特征(K4,无坏死;轻度门静脉炎症=50%,中度=25%;含铁血黄素=25%)。槟榔乙醇提取物尚未显示出类似健康状况的组织病理学特征(K6=正常炎症,轻度,中度分别=50%,50%,0%;含铁血黄素=0%)。单独的槟榔乙醇提取物很快就能改善伯氏疟原虫诱导的小鼠肝损伤的组织病理学特征。关键词:槟榔;伯氏疟原虫;肝脏组织病理学
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引用次数: 0
Comparative Literature Study of Bligo Fruit Extract (Benincasa hispida (Thunb) Cogn) and Bitter Melon (Momordica charantia L.) Extract on the Minimum Inhibition of Salmonella typhi Bacteria 黑果提取物(Benincasa hispida (Thunb) Cogn)与苦瓜(Momordica charantia L.)的比较文献研究提取物对伤寒沙门菌的最小抑制作用
Pub Date : 2021-09-29 DOI: 10.20527/JBK.V17I2.11679
Mei Rizqi Putri Afifah, N. K. Indahsari
Abstract: Salmonella typhi is a gram-negative bacteria species that causes typhoid fever. Salmonella typhi is sensitive to antibiotics such as amoxicillin, chloramphenicol, ciprofloxacin, and cotrimoxazole. However, there has been some increase in antibiotic resistance, so there is a need for new antibacterials that do not have a resistance effect to treat infection. Bligo fruit (Benincasa hispida (Thunb) Cogn) and bitter melon (Momordica charantia L.) contain saponins, tannins, flavonoids, alkaloids, and triterpenoids which have antibacterial power. The purpose of this study was to compare the effectiveness of the bligo fruit extract (Benincasa hispida (Thunb) Cogn) and bitter melon extract (Momordica charantia L.) on the minimum inhibition of Salmonella typhi bacteria. The method used is narrative literature review. The results of the journal study showed that the extract of bitter melon (Momordica charantia L.) was more effective in inhibiting Salmonella typhi bacteria than the extract of bligo (Benincasa hispida (Thunb) Cogn) with a minimum inhibitory power at a concentration of 20%, namely 8.5 mm. Keywords: Bligo Fruit (Benincasa hispida (Thunb) Cogn), Bitter Melon (Momordica charantia L.), Salmonella typhi.
摘要:伤寒沙门氏菌是一种引起伤寒的革兰氏阴性菌。伤寒沙门氏菌对阿莫西林、氯霉素、环丙沙星和复方新诺明等抗生素敏感。然而,抗生素耐药性有所增加,因此需要新的不具有耐药作用的抗生素来治疗感染。黑果(Benincasa hispida (Thunb) Cogn)和苦瓜(Momordica charantia L.)含有抗菌功效的皂苷、单宁、类黄酮、生物碱和三萜。本研究的目的是比较黑果提取物(Benincasa hispida (Thunb) Cogn)和苦瓜提取物(Momordica charantia L.)对伤寒沙门氏菌的最小抑制效果。使用的方法是叙事文献综述。期刊研究结果表明,苦瓜(Momordica charantia L.)提取物对伤寒沙门菌的抑制效果优于苦瓜(Benincasa hispida (Thunb) Cogn)提取物,在浓度为20%(即8.5 mm)时,其抑制力最小。关键词:黑果(Benincasa hispida (Thunb) Cogn);苦瓜(Momordica charantia L.);
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引用次数: 0
Correlation of Vitamin D with Ferritin in Pregnant Mothers Chronic Energy Deficiency of the Second Trimester 孕中期慢性能量缺乏孕妇维生素D与铁蛋白的相关性
Pub Date : 2021-09-29 DOI: 10.20527/jbk.v17i2.11675
Hendera Henderi, S. Siahaan, Irwin Priyatna Kusumah, Heru Cahjono, F. A. Tannus, Nimas Pristiwanto D S, Helen Octavia
Abstract: Based on the prevalence of the Kediri Health Office in 2013 and 2014, pregnancy in CED in Kediri was 6.6% and 6.7%, which was an increase of 0.1% from the previous year. According to the prevalence of CED pregnancy in Badas Puskesmas in 2013 and 2014, it was 7.8% and 6.1%. Aimed at knowing the differences in vitamin D levels in normal pregnancy with second trimester CED pregnancy; know the difference between ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and UAC in normal pregnancy and second trimester CED pregnancy. This study used an analytical test (case-control) with randomization of pregnant and pregnant CED patients in the Sukomanunggal district. The results showed that the difference in Vitamin D (33.5380 ± 5.60498 vs 32.4300 ± 4.40708) p = 0.166, the comparison was not significant. The difference in ferritin (17.4080 ± 10.90625 vs 24.7420 ± 21.79586) p = 0.388 comparison was not significant. The correlation between vitamin D and ferritin (p = 0.030) had a significant relationship. There was no significant correlation between Vitamin D and UAC (p = 0.730). The correlation between ferritin and UAC (p = 0.304) was not significant.  Keywords: Vitamin D, Iron, Ferritin, UAC, CEDAbstract: Based on the prevalence of the Kediri Health Office in 2013 and 2014, pregnancy in CED in Kediri was 6.6% and 6.7%, which was an increase of 0.1% from the previous year. According to the prevalence of CED pregnancy in Badas Puskesmas in 2013 and 2014, it was 7.8% and 6.1%. Aimed at knowing the differences in vitamin D levels in normal pregnancy with second trimester CED pregnancy; know the difference between ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and UAC in normal pregnancy and second trimester CED pregnancy. This study used an analytical test (case-control) with randomization of pregnant and pregnant CED patients in the Sukomanunggal district. The results showed that the difference in Vitamin D (33.5380 ± 5.60498 vs 32.4300 ± 4.40708) p = 0.166, the comparison was not significant. The difference in ferritin (17.4080 ± 10.90625 vs 24.7420 ± 21.79586) p = 0.388 comparison was not significant. The correlation between vitamin D and ferritin (p = 0.030) had a significant relationship. There was no significant correlation between Vitamin D and UAC (p = 0.730). The correlation between ferritin and UAC (p = 0.304) was not significant.  Keywords: Vitamin D, Iron, Ferritin, UAC, CED
摘要:根据凯迪里卫生办公室2013年和2014年的患病率,凯迪里CED妊娠率分别为6.6%和6.7%,比前一年增加了0.1%。根据2013年和2014年Badas Puskesmas CED妊娠的患病率,分别为7.8%和6.1%。旨在了解正常妊娠与妊娠中期CED妊娠维生素D水平的差异;了解正常妊娠和妊娠中期CED妊娠中铁蛋白的差异;了解维生素D和铁蛋白在正常妊娠和妊娠中期CED妊娠中的相关性;了解维生素D和UAC在正常妊娠和妊娠中期CED妊娠中的相关性。本研究采用了一项分析试验(病例对照),对苏科曼格尔地区的孕妇和孕妇CED患者进行了随机分组。结果表明,维生素D的差异(33.5380±5.60498 vs 32.4300±4.40708)p=0.166,比较不显著。铁蛋白的差异(17.4080±10.90625 vs 24.7420±21.79586)p=0.388比较无显著性。维生素D与铁蛋白之间的相关性(p=0.030)具有显著关系。维生素D与UAC之间无显著相关性(p=0.730),铁蛋白与UAC的相关性(p=0.304)不显著。关键词:维生素D、铁、铁蛋白、UAC、CED摘要:根据凯迪里卫生办公室2013年和2014年的患病率,凯迪里CED妊娠率分别为6.6%和6.7%,比前一年增加了0.1%。根据2013年和2014年Badas Puskesmas CED妊娠的患病率,分别为7.8%和6.1%。旨在了解正常妊娠与妊娠中期CED妊娠维生素D水平的差异;了解正常妊娠和妊娠中期CED妊娠中铁蛋白的差异;了解维生素D和铁蛋白在正常妊娠和妊娠中期CED妊娠中的相关性;了解维生素D和UAC在正常妊娠和妊娠中期CED妊娠中的相关性。本研究采用了一项分析试验(病例对照),对苏科曼格尔地区的孕妇和孕妇CED患者进行了随机分组。结果表明,维生素D的差异(33.5380±5.60498 vs 32.4300±4.40708)p=0.166,比较不显著。铁蛋白的差异(17.4080±10.90625 vs 24.7420±21.79586)p=0.388比较无显著性。维生素D与铁蛋白之间的相关性(p=0.030)具有显著关系。维生素D与UAC之间无显著相关性(p=0.730),铁蛋白与UAC的相关性(p=0.304)不显著。关键词:维生素D、铁、铁蛋白、UAC、CED
{"title":"Correlation of Vitamin D with Ferritin in Pregnant Mothers Chronic Energy Deficiency of the Second Trimester","authors":"Hendera Henderi, S. Siahaan, Irwin Priyatna Kusumah, Heru Cahjono, F. A. Tannus, Nimas Pristiwanto D S, Helen Octavia","doi":"10.20527/jbk.v17i2.11675","DOIUrl":"https://doi.org/10.20527/jbk.v17i2.11675","url":null,"abstract":"Abstract: Based on the prevalence of the Kediri Health Office in 2013 and 2014, pregnancy in CED in Kediri was 6.6% and 6.7%, which was an increase of 0.1% from the previous year. According to the prevalence of CED pregnancy in Badas Puskesmas in 2013 and 2014, it was 7.8% and 6.1%. Aimed at knowing the differences in vitamin D levels in normal pregnancy with second trimester CED pregnancy; know the difference between ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and UAC in normal pregnancy and second trimester CED pregnancy. This study used an analytical test (case-control) with randomization of pregnant and pregnant CED patients in the Sukomanunggal district. The results showed that the difference in Vitamin D (33.5380 ± 5.60498 vs 32.4300 ± 4.40708) p = 0.166, the comparison was not significant. The difference in ferritin (17.4080 ± 10.90625 vs 24.7420 ± 21.79586) p = 0.388 comparison was not significant. The correlation between vitamin D and ferritin (p = 0.030) had a significant relationship. There was no significant correlation between Vitamin D and UAC (p = 0.730). The correlation between ferritin and UAC (p = 0.304) was not significant.  Keywords: Vitamin D, Iron, Ferritin, UAC, CEDAbstract: Based on the prevalence of the Kediri Health Office in 2013 and 2014, pregnancy in CED in Kediri was 6.6% and 6.7%, which was an increase of 0.1% from the previous year. According to the prevalence of CED pregnancy in Badas Puskesmas in 2013 and 2014, it was 7.8% and 6.1%. Aimed at knowing the differences in vitamin D levels in normal pregnancy with second trimester CED pregnancy; know the difference between ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and ferritin in normal pregnancy and second trimester CED pregnancy; know the correlation between vitamin D and UAC in normal pregnancy and second trimester CED pregnancy. This study used an analytical test (case-control) with randomization of pregnant and pregnant CED patients in the Sukomanunggal district. The results showed that the difference in Vitamin D (33.5380 ± 5.60498 vs 32.4300 ± 4.40708) p = 0.166, the comparison was not significant. The difference in ferritin (17.4080 ± 10.90625 vs 24.7420 ± 21.79586) p = 0.388 comparison was not significant. The correlation between vitamin D and ferritin (p = 0.030) had a significant relationship. There was no significant correlation between Vitamin D and UAC (p = 0.730). The correlation between ferritin and UAC (p = 0.304) was not significant.  Keywords: Vitamin D, Iron, Ferritin, UAC, CED","PeriodicalId":53378,"journal":{"name":"Berkala Kedokteran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41314062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Hand Soap Activity Against the Number oOf Bacterial Colonies from the Housewife's Hand Swab Samples in a Temporary Landfill in Kelurahan Gadang Banjarmasin 在克鲁拉汗加当班加马辛的临时垃圾填埋场,洗手液对家庭主妇手拭子样本细菌菌落的活性
Pub Date : 2021-09-29 DOI: 10.20527/jbk.v17i2.11665
Farida Heriyani, L. Budiarti, Widya Nursantari, Ayu Apriliani
Abstract: Unhygienic waste handling in a temporary landfill, can make the surrounding environment a source of transmission of pathogenic bacteria and colonization of bacterial growth in the hands. The study aims to identify the type of bacteria on the hands and test the activity of hand wash soap in lowering the number of colonies of hand bacteria. The identification of bacteria against 30 hand swab samples derived from the hands of housewives in temporary landfill (TPS) in Kelurahan Gadang Banjarmasin, was carried out in conventional media. Test the activity of hand wash soap in lowering the number of colonies of hand bacteria using 2 different brands.  Bacterial identification is carried out by descriptive method and experimental testing of hand wash soa p activity use pretest-posttest design with control group design. The data was analyzed using shapiro wilk test and  wilcoxon test with 95% confidence level. Identification of hand swab bacterial isolates obtained Staphylococcus aureus (66.6%), Staphylococcus epidermidis (10%) and Escherichia coli (23.33%). Statistical analysis showed significant differences between the two brands of hand wash soap tested (sig. 0.000 >0.05). The conclusion of the type of gram-positive bacteria more widely found in the hands of housewives; Type B hand soap has a higher effectiveness in reducing the number of bacterial colonies on the hands than A-brand. Keywords: hand wash soap, housewife hand swab, number of colonies of hand bacteria.
摘要:在临时垃圾填埋场处理不卫生的垃圾,会使周围环境成为病原菌的传播源和细菌在手上的定植。这项研究旨在确定手上的细菌类型,并测试洗手皂在减少手部细菌菌落数量方面的活性。在常规培养基中,对来自Kelurahan Gadang Banjimasin临时垃圾填埋场(TPS)家庭主妇手部的30个手拭子样本进行了细菌鉴定。使用两种不同品牌的洗手皂测试洗手皂降低手部细菌菌落数的活性。细菌鉴定采用描述性方法和洗手液soa p活性实验测试,采用前测后测设计和对照组设计。数据采用shapiro-wilk检验和wilcoxon检验进行分析,置信度为95%。鉴定出的手拭子分离菌分别为金黄色葡萄球菌(66.6%)、表皮葡萄球菌(10%)和大肠杆菌(23.33%)。统计分析显示,两个品牌的洗手皂检测结果存在显著差异(sig0.000>0.05);B型洗手液在减少手上菌落数量方面比a牌洗手液更有效。关键词:洗手皂,家庭主妇手拭子,手部细菌菌落数。
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引用次数: 1
Predictive Refractive Error Post Congenital and Developmental Cataract Surgery 先天性和发育性白内障手术后的预测屈光不正
Pub Date : 2021-09-29 DOI: 10.20527/jbk.v17i2.11702
E. Imelda, Feti Karfiati, Mayasari Wahyu, Irawati Irfani, Primawita Oktarima, Sesy Caesarya
Abstract: Cataract is one of the leading treatable causes of visual impairment in children. Visual rehabilitation is crucial for the development of good visual function after cataract surgery in children. The research aimd to describe post-operative Predictive Refractive Error (PRE) in congenital and developmental cataracts in Cicendo National Eye Hospital from January 2017 to December 2018. This is a retrospective analytic observational study from medical records. We found 107 eyes of 62 children with congenital and developmental cataracts had had cataract surgery and primary implantation of Intraocular Lens (IOL) in Pediatric Ophthalmology and Strabismus Unit, Cicendo National Eye Hospital. The patients were divided into two groups, with axial length (AXL) of ≤ 24 mm and > 24 mm. The paired t-test was used to compare Predictive Error (PE) in SRK/T, SRK II, and Showa SRK formula. Mean age at surgery was 6.7 ± 4.0 years.  Ninety-five eyes had AXL ≤ 24 mm, and 12 eyes had AXL > 24 mm. Prediction Error from patients with AXL ≤ 24 mm was 0.29 D, and from patients with AXL > 24 mm was 2.40 D in SRK/T formula (P < 0.05). There was no significant difference between PE and Absolute Predictive Error (APE) in SRK/T, SRK II, and Showa SRK in patients with AXL > 24 mm (P > 0.05). SRK/T is the most predictable formula in patients with AXL ≤ 24 mm. There is no significant difference in patients with AXL > 24 mm in all formulas. Keywords: congenital and developmental cataract, axial length, Prediction Error, intraocular lens
摘要:白内障是儿童视力损害的主要可治疗原因之一。视力康复是儿童白内障术后良好视力发展的关键。本研究旨在描述2017年1月至2018年12月在Cicendo国家眼科医院进行的先天性和发育性白内障术后预测屈光不正(PRE)。这是一项来自医疗记录的回顾性分析性观察研究。摘要对62例先天性及发展性白内障患儿107眼进行白内障手术及人工晶状体植入术。患者分为两组,AXL≤24 mm和>≤24 mm。采用配对T检验比较SRK/T、SRK II和Showa SRK公式的预测误差(PE)。平均手术年龄6.7±4.0岁。95只眼AXL≤24 mm, 12只眼AXL≤24 mm。SRK/T公式对AXL≤24 mm患者的预测误差为0.29 D, AXL≤24 mm患者的预测误差为2.40 D (P < 0.05)。AXL bbb24 mm患者SRK/T、SRK II、Showa SRK的PE与绝对预测误差(APE)比较差异无统计学意义(P > 0.05)。对于AXL≤24 mm的患者,SRK/T是最可预测的公式。在AXL bbb24 mm患者中,各剂型差异无统计学意义。关键词:先天性和发育性白内障,眼轴长度,预测误差,人工晶状体
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引用次数: 0
PATTERN OF ANTIBIOTICS USE IN ADULT PATIENTS WITH URINARY TRACT INFECTION (UTI) 成人尿路感染患者的抗生素使用模式
Pub Date : 2021-03-02 DOI: 10.20527/JBK.V17I1.10244
Hidayatul Kurniawati, Anisa Auliyanah
Introduction: Urinary tract infection (UTI) is an infectious disease caused by the growth and proliferation of bacteria in the urinary tract, including infections in the bladder to the renal parenchyma with a certain number of bacteria in the urine. The use of antibiotics is therapy that commonly used to treat infectious diseases caused by bacteria. Irrational use of antibiotics can lead to bacterial resistance and toxicity. Objective: To determine the rationality of using antibiotics in adult patients with a urinary tract infection (UTI) in the X Hospital Yogyakarta from January-December 2017.Methods: This study is a non-experimental study with a descriptive observational study design and retrospective data collection. The sample of this study was inpatients with a diagnosis of urinary tract infection (UTI) and was recorded in the Medical Record X Hospital Yogyakarta for the period January-December 2017 which was included in the inclusion criteria. Results: Medical records that were included in the inclusion criteria were 61. The single most widely used antibiotic was ceftriaxone in 25 cases (44.64%) and the most widely used combination antibiotic was ceftazidime + levofloxacin in 2 cases (40%). The use of antibiotics with the right indication was 61 patients (100%), the right type was 61 patients (100%), the correct duration was 54 patients (88.52%), the right dose was 61 patients (100%), the right interval was 60 patients (98.36%) and the right route of administration was 61 patients (100%).
导语:尿路感染(UTI)是一种由尿路细菌生长和增殖引起的传染病,包括膀胱到肾实质的感染,尿液中有一定数量的细菌。抗生素的使用是一种常用于治疗细菌引起的传染病的疗法。抗生素的不合理使用会导致细菌耐药性和毒性。目的:确定2017年1月至12月在日惹X医院对成年尿路感染(UTI)患者使用抗生素的合理性。方法:本研究为非实验性研究,采用描述性观察研究设计和回顾性数据收集。本研究的样本为诊断为尿路感染(UTI)的住院患者,记录在日惹X医院2017年1月至12月期间的病历中,纳入标准。结果:纳入标准的病历为61份。最广泛使用的单一抗生素是头孢曲松25例(44.64%),最广泛使用联合抗生素是头孢他啶+左氧氟沙星2例(40%)。使用正确适应症的抗生素有61名患者(100%),正确类型的有61名(100%)、正确持续时间的有54名(88.52%)、正确剂量的有61例(100%)和正确间隔的有60名(98.36%),正确给药途径的有61位(100%)。
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引用次数: 2
Ethylenediaminetetraacetic Acid‑Dependent Pseudothrombocytopenia in Patient Previously Treated as Dengue Fever 乙二胺四乙酸依赖性假性血小板减少症患者既往治疗为登革热
Pub Date : 2021-03-02 DOI: 10.20527/JBK.V17I1.10250
Hendra Nur'amin, M. Prenggono, Wivina Riza Devi
Abstract: One of the most widely used anticoagulants for a complete blood count is ethylenediaminetetraacetic acid (EDTA).  Pseudothrombocytopenia (PTCP) may be caused by EDTA, this condition may lead to inappropriate diagnosis and treatment. We report a 25-year-old female with unspecific headache and joint pain with very low platelet count since 1 month before hospital admission. She was diagnosed with Dengue fever infection and got some platelet transfusion from the previous secondary hospital. She was carried out for a blood test with another anticoagulant (sodium citrate) and bone marrow aspiration. The results showed that she had normal platelet count and bone marrow cellularity. When a patient was identified with thrombocytopenia without any bleeding manifestation, hematology disease, and family history, PTCP should be taken into consideration to prevent unnecessary intervention. Keywords: platelet, pseudothrombocytopenia, ethylenediaminetetraacetic acid, Dengue fever
摘要:乙二胺四乙酸(EDTA)是用于全血计数的最广泛使用的抗凝剂之一。EDTA可能引起假性血小板减少症(PTCP),这种情况可能导致诊断和治疗不当。我们报告了一名25岁女性,自入院前1个月以来,患有非特异性头痛和关节疼痛,血小板计数非常低。她被诊断为登革热感染,并从之前的二级医院输了一些血小板。她接受了另一种抗凝剂(柠檬酸钠)的血液测试和骨髓抽吸术。结果显示,她的血小板计数和骨髓细胞数正常。当患者被确定为血小板减少症,没有任何出血表现、血液学疾病和家族史时,应考虑PTCP,以防止不必要的干预。关键词:血小板、假性血小板减少症、乙二胺四乙酸、登革热
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引用次数: 0
Thoracic Gunshot Wound with Vascular Lesion 胸部枪伤伴血管损伤
Pub Date : 2021-03-02 DOI: 10.20527/JBK.V17I1.10253
Ahmad Adityawarman, A. Ghozali
Abstract: The thoracic gunshot wounds may cause high morbidity and mortality, especially if accompanied by vascular injuries. Therefore, immediate management and precise decision are needed. A 35-year-old man who was referred from the regional hospital presented with thoracic gunshot wound and a history of hemorrhagic shock. A projectile was found through the chest wall and caused axillary artery rupture. The patient underwent exploratory thoracotomy and axillo-brachial artery bypass using a great saphenous vein graft. The patient's postoperative condition showed improvement in hemodynamic and distal limb perfusion. Keywords: Chest trauma, gunshot wound, axillary artery, vascular injury
摘要:胸部枪伤可能导致较高的发病率和死亡率,尤其是伴有血管损伤的情况。因此,需要即时管理和精确决策。一名从地区医院转诊的35岁男子出现胸部枪伤和失血性休克史。一枚射弹穿过胸壁,导致腋动脉破裂。患者接受了探查性开胸术和使用大隐静脉移植物的腋下肱动脉搭桥术。患者的术后情况显示血液动力学和远端肢体灌注有所改善。关键词:胸部创伤、枪伤、腋动脉、血管损伤
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引用次数: 0
期刊
Berkala Kedokteran
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